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1215998265
DAVID N. SUPRAK
EUGENE, OR
NPI
1215998265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-03-29
Last Update Date
2007-07-08
Business Address
-- DAVID N. SUPRAK MS, ATC, CSCS
2250 PATTERSON ST APT. 256
EUGENE, OR 97405-2984
Phone number: 541-346-7318
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Mailing Address
-- DAVID N. SUPRAK MS, ATC, CSCS
2250 PATTERSON ST APT. 256
EUGENE, OR 97405-2993
Phone number: 541-346-7318
Copy
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